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The unit I worked at, we are very familiar with telemedicine (telehealth) especially in the weekends/holidays when we don’t have providers on site available to assess and evaluate patients who need their expertise. After patients are evaluated and admitted to our floor, they describe their experience about telemedicine as convenient, minimal waiting time, and getting an instant medical answer. Whereas the disadvantages of using telemedicine are a power outage, slow internet connection, loss of privacy and confidentiality, no consultation, and even no stable patient-nurse relationship. According to WHO, despite those barriers, telemedicine has the potential to decrease emergency room visits and hospitalizations, promote quality care for patients
[20]Charles BL. (2000) Telemedicine can lower costs and improve access. Healthcare Financial Management. 54(4): 66.
Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth benefits conclusively. This change in health care delivery presents new ethical concerns, and new relationship boundaries between health care professionals, patients, and family members. This paper will discuss telehealth benefits in specific patient populations, costs benefits of using telehealth, and concerns of using telehealth.
The purpose of telemedicine is to remove distance as a barrier to health care. While telehealth is an accepted resource to bridge the gap between local and global health care, integrating telehealth into existing health infrastructures presents a challenge for both governments and policy makers (HRSA, 2011). Today there are policy barriers that prevent the expansion of telehealth, including reimbursement issues raised by Medicare and private payers, state licensure, and liability and privacy concerns.
It is widely recognized that mental illness affects a significant proportion of the population; however, it is complicated to determine exact numbers. This problem can be attributed to such issues as the changing definitions of mental illness as well as difficulties in classifying, diagnosing, and reporting mental disorders. Limitations to adequate mental health services including social stigma, cultural incompatibility between patients and providers, language barriers, lack of insurance and logistical barriers. In addition, significant differences in socioeconomic status, lifestyle behaviors, and access to care have resulted in health disparities between rural and urban communities (Institute of Medicine, 2004). According to Sulzbacher et al., many families who live in rural areas do not have the financial, social or psychological resources, to travel to distant urban centers to obtain adequate care particularly for a chronic mental health problem. There is also evidence to suggest that mental illness in rural areas is as nearly as high as among people in metropolitan areas. However, the accessibility of mental health services and professionals in rural areas is extremely low compared to major cities and metropolitan areas. Such barriers can impede the diagnosing, treating and reporting of mental illnesses and have also been instrumental in developing and improving telepsychiatry and e-mental health models.
Among the main aims of health care reform and improvement is expanding healthcare access to different populations, which have been subjects to underserving for a long period. These include the poor, the previously uncovered, rural societies, and the minorities, to mention just a few. Great challenges definitely lie ahead, since several individuals start seeking access to the primary healthcare clinicians (Arnaert & Delesie, 2001). Telenursing assures to be a crucial tool to meet such needs. It refers to making use of the telehealth technology in conducting nursing practice and delivering nursing care. Because of the quick telemedicine technology adoption within the healthcare institutions, telenursing emerges as a fresh tool that provokes discussions
Improving health is in the best interest of everyone, including non-health professionals. Health managers need to be constantly looking for ways to improve access to health care, the quality of the care, and cost containment. Often, the biggest barriers to accessing healthcare are cost and location. Lower income individuals just do not have the resources to have optimal healthcare, or cannot take the time away from employment to deal with health issues. One potential solution to help with these problems could be “telehealth.”
Telemedicine is a new comer to the field of medicine and it is the treatment of patients by means of telecommunications technology. Telemedicine is carried out in a variety of ways whether it is by smart phone, wireless tools or other forms of telecommunications. Examples of telemedicine include: 1) transmission of medical images 2) care services at the home of the patient 3) Diagnosis at distance 4) education and training of patients. The diversity of practices in what is known as telemedicine raises many questions and one of those questions, which is extremely important, relate to the safety of the practice and the risks involved.
...ward understanding the cost benefit of telemedicine applications. Hospital Topics: Research and Perspectives on Healthcare
In today’s world where everything is technology based, telehealth has changed healthcare in various ways. For instance, patients with congestive heart failure may use monitors in the home that have the ability to send updates of the patient’s weight, blood pressure, and other metrics to health care providers. Some facilities are able to treat more patients by having patient information and images uploaded and sent directly to the physicians (using a secure server) instead of physically seeing each patient. Telehealth also has the ability to assist patients adhere to their medication regimes using a wireless pill bottle that reminds patients to take their medications. These technologies become especially important in interprofessional care in order to maximize communication between the different disciplines. In addition, there are some intensive care units that have beds that are supported by the tele-ICU technology. This technology allows health care providers such as critical care nurses, to connect with patients via audio and visual
The selected assessment tool reviewed influences affecting the facilities’ ability to change and identified important elements of change: urgency, leadership, trust, and communication (Clay & Norris-Tirrell, 2016). First, the assessment revealed the facility understands there is an urgency for change, thereby scoring high in this category. Next, the facility scored neutral in the leadership category as there was a knowledge deficit concerning this category. Thirdly, the facility yielded a high score in trust indicating the employees have a loyalty to the organization. Finally, the evaluation indicates a moderate score in
Discussion Response The discussion post by Adrianna Alcorn comprehensively covers the importance of the use of Telehealth to improve healthcare delivery systems. The healthcare sector is changing with the intent of offering quality, timely and affordable care to patients who need it. One thing that the discussion post has mentioned and which I consider important is the role of nurses in promoting the use of Telehealth. Nurses are in the front-line when it comes to using Telehealth devices.
Telemedicine is a tool that enables providers to deliver health care services to patients at distant location, and it is often promoted as a means of addressing the imbalances in the distribution of health care resources (Wager, Lee, & Glaser, 2013, p. 156.)
Telehealth definition according to our textbook by Hebda, T., & Czar, P., 2013 is the use of telecommunications technologies and electronic information to exchange healthcare information and to provide and support services such as long-distance clinical healthcare to clients. It provides health care to patients that may not be able to have access to care. Telehealth requires a patient to have electronic tools to facilitate this type of service. Electronic tools can be a telephone, computer, or a video camera. The patient is able to call or enable video conferencing to have access to their health care provider. Telehealth allows the patient to have access to preventative care and education on their disease process and how to manage it at home.
The use of ICT in health and social care is an enormous advantage for both, service user and service provider. ICT at the working place is an essential tool to coordinate appointments. ICT provides quick access to patient data and records; it is a fast route in the transfer of case files to different departments.
With the help of telehealth and telenursing, overall healthcare costs can be reduced, especially for those patients